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A Theme Hospital engine recreation with modern desktop support, high resolutions and an editable hospital-building campaign.
Before you start
- Platform
- Windows · macOS · Linux · BSD
- How to start
- Download
- Game files
- Trial available
File requirements
Provide legally owned Theme Hospital data from a CD or digital installation and select its data directory on first launch. The official demo is an alternative with one level and most management screens absent. The engine license does not license the original assets.
Based on public documentation; full builds and playthroughs have not been tested. Project documentation 
What it recreates
Recreates the hospital-management game while loading graphics, sounds and other resources from Theme Hospital.
What’s different
Adds zoom, interface scaling, custom maps and campaigns. Multiplayer and computer-controlled rival hospitals remain missing.
What you can use today
Version 0.70.1 is available for Windows and macOS, with Linux AppImage and distribution packages. BSD is also supported. The Mac release disables RtMidi hardware MIDI. Not run by RemakeList.
Sources & notesSources checked:
The official README explains the remake, supported platforms and missing features; Getting Started distinguishes full-game data from the limited demo. The release and license were checked, without testing binaries.
Source Project documentation Original files and limited demo requirements · Official gameplay screenshots Sources checked: 2026-10-19 · Based on public documentation; full builds and playthroughs have not been tested.